1,721,009 research outputs found
Requirements for applying a case-control study model and clinical significance of changes in the visual analogue scale score in abdominal pain
No full textThe framework of the study is a comparison of two
groups of patient: one group formed of people affected by
the pathological condition (cases) and the other constituted
by people with the same features as the cases but free from
the pathological condition to be analysed (controls). The
crucial aspect of the design of a case–control study is that
the cases are correctly selected, since the reliability of the
study itself depends on this
Letters to the Editor: Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal hernioplasty.
No full text
Uretero-neocystostomy in a swine model of kidney transplantation: a new technique
No full textThe comparison between the old techniques and the new one (LG and LP versus Direct) showed a lower incidence of complications among the animals that underwent the new direct technique (P < 0.05). This technique could be applied clinically in selected pediatric cases either of transplantation or reflux
Transvaginal laparoscopic cholecystectomy: endoscopically assited
No full textThe advent of NOTES on the scene has attracted attention
and enthusiasm, but also caution and recommendations for
animal studies that better define the surgical technique, test
new dedicated instruments, overcome potential problems,
and explore applicability to clinical settings [2]. Following
this recommendation, a large number of animal studies have
been performed during the last 3 years [3]. The experimental
techniques described by Bessler et al. and by us are good
examples of this strategy for the safe development of
NOTES technology. However, the two techniques are two
sides of the same coin: one is endoscopically based with
laparoscopic assistance; the other is laparoscopically based,
with endoscopic assistance. Both of the procedures are
performed with conventional endoscopic and laparoscopic
devices, which are not specifically designed for this type of
surgery, making necessary a hybrid approach to ensure safe and reliable operation.When a multitasking flexible platform
becomes available, these technical differences will be
overcome and pure NOTES procedures will be accessible to
the majority of endoscopic/laparoscopic surgeons. At that
point, the two sides of the coin will be the sam
Laparoscopic harvest of the jejunal free flap for cervical esophageal reconstruction.
No full textThe jejunal free flap is a standard technique in the reconstruction of hypopharyngeal and cervical esophageal defects. Conventional harvesting of the jejunal segment is performed with midline open laparotomy, which is associated with complications including prolonged ileus, abdominal pain, wound infection or dehiscence. Laparoscopic resection of the small intestine is a well documented surgical technique. Two different methods of laparoscopic harvest of a jejunal autografts for their cervical implantation have been already described. In both cases, low complication rate and better postoperative course have been observed in the patients treated. During the last 10 years, we have performed 43 circumferential pharyngoesophageal resection for advanced hypo-pharyngeal cancer followed by reconstruction with a free flap of jejunum. All but one the jejunal segments have been harvested with conventional open laparotomy. In the last patient of this group, laparoscopic harvest of the jejunal segment has been successfully performed. In this paper, we describe the laparoscopic technique used and we compare the postoperative course of this patient with those of the patients treated with conventional technique
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